The Veteran's claims for reinstatement of his VA fee-basis ID card, reimbursement for unauthorized private medical services, and reimbursement for expenses incurred at a hospital are being remanded due to the need for additional information and records.
The deciding factor: Additional information is required in order to make a decision on the issues on appeal, including copies of the Veteran’s application, approval, and denial letters concerning his fee basis medical ID card; the Veteran’s claims for entitlement to reinstatement of his VA fee-basis ID card, reimbursement for expenses incurred for unauthorized private medical services between February 8, 2012 and May 28, 2013, and reimbursement for expenses incurred at Morton Plant North Bay Hospital in New Port Richey, Florida on April 4, 2015; rating decisions showing the effective dates of service connection and evaluations for the Veteran’s service-connected disabilities; all VA and private treatment records relevant to the Veteran’s claims; and documentation showing the care the Veteran is approved for under the Veteran's Choice Program, and the specific services and treatment needs available to him at VA facilities.
- Claimed conditions
- neurosis and general anxiety disorder, coronary artery bypass, diabetes mellitus, impairment of the clavicle or scapula, limited flexion of the knee
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- January 17, 2019
- Citation
- 19104391
What this means for you
A remand is not a loss. The Board sent the case back for more development — often a new exam or missing records — before making a final decision. Many remands later end in a grant, and the decision spells out exactly what the Board wanted to see.
What you can do next
Related decisions
Other Board decisions on a similar condition or argued the same way.
- Remanded (sent back)
The Board remands the claims for service connection for hypertension and diabetes mellitus to obtain further medical opinions regarding their potential relationship to toxic exposures during active service.
- Remanded (sent back)
The Board remands the claims for service connection for right foot, left elbow, left hip, left ankle, and diabetes mellitus to obtain additional medical evidence.
- Denied
The Board denied service connection for cervical spine condition, diabetes mellitus, heart condition, lumbar spine condition, and urinary frequency and voiding condition as there was no evidence of a current diagnosis or in-service incurrence or aggravation.
- Partly granted
The Board granted service connection for asthma and remanded the claims for sinus disability, bilateral hip disability, right shoulder disability, hypertension, sleep apnea, diabetes mellitus, skin disability, back disability, bilateral neurological disability of the upper extremities, and bilateral neurological disability of the lower extremities.
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